Larisa Bradford LLC
Larisa Bradford LLC is a Family Medicine Physician in Gainesville, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
808 Main St SWGainesville, GA 30501-4472
Phone: (404) 808-6071
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1629803754 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larisa Russell — Owner/Medical Doctor · (404) 808-6071 |
| NPI enumerated | September 6, 2024 |
| Last updated in NPPES | January 23, 2025 |
| Certification date | January 23, 2025 |
| Mailing address | 808 Main St Sw, Gainesville, GA 30501-4472 |
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